Healthcare Provider Details

I. General information

NPI: 1255956967
Provider Name (Legal Business Name): ALOHA MEDICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2020
Last Update Date: 06/09/2020
Certification Date: 06/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 N HARRISVILLE RD
HARRISVILLE UT
84404-3537
US

IV. Provider business mailing address

811 N HARRISVILLE RD
HARRISVILLE UT
84404-3537
US

V. Phone/Fax

Practice location:
  • Phone: 801-399-1818
  • Fax: 801-782-8412
Mailing address:
  • Phone: 801-399-1818
  • Fax: 801-782-8412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YVETTE PALAU
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 801-399-1818